| NPI | 1629280763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN105366) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 105366) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05220) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-10-20 |